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Important Message:

What You Pay for Vaccines – Our plan covers most Part D vaccines at no cost to you. Call Member Services for more information.

What You Pay for Insulin – You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on.

CCHP Senior Program

(HMO)

Benefits & Coverage Documents

  • Summary of Benefits
  • Annual Notice of Change
  • Evidence of Coverage
    (Including information about appeals/grievance, referrals, out-of-network coverage, disenrollment, and transition process.)
  • Comprehensive Formulary
    (Including information about formulary exceptions and transition process. A comprehensive formulary is a list of all covered drugs selected by CCHP Senior Program (HMO) in consultation with a team of healthcare providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.)
  • Official CMS Star Rating

Provider & Pharmacy Directory

Benefits & Coverage Documents

  • Summary of Benefits
  • Annual Notice of Change
  • Evidence of Coverage
    (Including information about appeals/grievance, referrals, out-of-network coverage, disenrollment, and transition process.)
  • Comprehensive Formulary
    (Including information about formulary exceptions and transition process. A comprehensive formulary is a list of all covered drugs selected by CCHP Senior Program (HMO) in consultation with a team of healthcare providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.)
  • Official CMS Star Rating

Provider & Pharmacy Directory

Benefits & Coverage Documents

  • Summary of Benefits
  • Annual Notice of Change
  • Evidence of Coverage
    (Including information about appeals/grievance, referrals, out-of-network coverage, disenrollment, and transition process.)
  • Comprehensive Formulary
    (Including information about formulary exceptions and transition process. A comprehensive formulary is a list of all covered drugs selected by CCHP Senior Program (HMO) in consultation with a team of healthcare providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.)
  • Official CMS Star Rating

Provider & Pharmacy Directory

CCHP Senior Value Program

(HMO)

Benefits & Coverage Documents

  • Summary of Benefits
  • Annual Notice of Change
  • Evidence of Coverage
    (Including information about appeals/grievance, referrals, out-of-network coverage, disenrollment, and transition process.)
  • Comprehensive Formulary
    (Including information about formulary exceptions and transition process. A comprehensive formulary is a list of all covered drugs selected by CCHP Senior Value Program (HMO) in consultation with a team of healthcare providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.)
  • Official CMS Star Rating

Provider & Pharmacy Directory

Benefits & Coverage Documents

  • Summary of Benefits
  • Annual Notice of Change
  • Evidence of Coverage
    (Including information about appeals/grievance, referrals, out-of-network coverage, disenrollment, and transition process.)
  • Comprehensive Formulary
    (Including information about formulary exceptions and transition process. A comprehensive formulary is a list of all covered drugs selected by CCHP Senior Program (HMO) in consultation with a team of healthcare providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.)
  • Official CMS Star Rating

Provider & Pharmacy Directory

Benefits & Coverage Documents

  • Summary of Benefits
  • Annual Notice of Change
  • Evidence of Coverage
    (Including information about appeals/grievance, referrals, out-of-network coverage, disenrollment, and transition process.)
  • Comprehensive Formulary
    (Including information about formulary exceptions and transition process. A comprehensive formulary is a list of all covered drugs selected by CCHP Senior Program (HMO) in consultation with a team of healthcare providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.)
  • Official CMS Star Rating

Provider & Pharmacy Directory

CCHP Senior Select Program

(HMO D-SNP)

Benefits & Coverage Documents

  • Summary of Benefits
  • Annual Notice of Change
  • Evidence of Coverage
    (Including information about appeals/grievance, referrals, out-of-network coverage, disenrollment, and transition process.)
  • Comprehensive Formulary
    (Including information about formulary exceptions and transition process. A comprehensive formulary is a list of all covered drugs selected by CCHP Senior Select Program (HMO D-SNP) in consultation with a team of healthcare providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.)
  • Official CMS Star Rating

Provider & Pharmacy Directory

Benefits & Coverage Documents

  • Summary of Benefits
  • Annual Notice of Change
  • Evidence of Coverage
    (Including information about appeals/grievance, referrals, out-of-network coverage, disenrollment, and transition process.)
  • Comprehensive Formulary
    (Including information about formulary exceptions and transition process. A comprehensive formulary is a list of all covered drugs selected by CCHP Senior Program (HMO) in consultation with a team of healthcare providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.)
  • Official CMS Star Rating

Provider & Pharmacy Directory

Benefits & Coverage Documents

  • Summary of Benefits
  • Annual Notice of Change
  • Evidence of Coverage
    (Including information about appeals/grievance, referrals, out-of-network coverage, disenrollment, and transition process.)
  • Comprehensive Formulary
    (Including information about formulary exceptions and transition process. A comprehensive formulary is a list of all covered drugs selected by CCHP Senior Program (HMO) in consultation with a team of healthcare providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.)
  • Official CMS Star Rating

Provider & Pharmacy Directory

Member Services

Contact our friendly member services staff.

phone icon
Call

1-888-775-7888 (TTY 1-877-681-8898)

10/1-3/31: 7 days a week from 8 a.m. – 8 p.m.
4/1-9/30: Monday-Friday, 8 a.m. – 8 p.m.

Member Portal Sign-In
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Visit

San Francisco Office
890 Jackson Street, San Francisco, CA 94133
Monday – Friday: 9 a.m. – 5 p.m.

 

Daly City Office
386 Gellert Boulevard, Daly City, CA 94015
Monday – Friday: 9 a.m. – 5 p.m.

Chinese Community Health Plan (CCHP) is a Medicare Advantage HMO plan with a Medicare contract and a California Medicaid program contract for our HMO D-SNP Plan. Enrollment in CCHP depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rating system. CCHP’s pharmacy network offers limited access to pharmacies with preferred cost sharing in San Francisco and San Mateo County. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, please call 1-888-775-7888 (TTY 1-877-681-8898) or consult CCHP online pharmacy directory. CCHP complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

H0571_2020_272_2020 Last Updated 12/13/2019